Emergency Department Utilization Management program

It’s important to us that people get the right care in the right place at the right time. With this in mind, inappropriate use of the Emergency Department (ED) has a significant impact on the cost and quality of care, according to the New England Healthcare Institute.

In a data-driven and quality-focused initiative to reduce unnecessary ED visits, Fallon Health has created helpful information for our members.

Our messages include:

When it is appropriate to go to the ED

When to go to another facility, such as urgent care or primary care provider’s office

Access to Nurse Connect, a free 24-hour resource to nurses and health coaches

How you can help

We are distributing the following information to our members. You are welcome to share these helpful management tools with your patients.

Anonymous Compliance Hotline: Call our Compliance Hotline to report any concerns you may have regarding compliance, fraud, waste or abuse. You can call the Hotline 24 hours a day, seven days a week. All calls are anonymous and confidential.